scholarly journals Evaluation of the Results of Patients with a First Afebrile Seizure Admitted to a Pediatric Emergency Department

2021 ◽  
Vol 8 (3) ◽  
pp. 146-150
Author(s):  
Çiğdem Üner ◽  
Aysun Tekeli ◽  
Can Demir Karacan
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Afebrile Seizure

Use of Head Computed Tomography (CT) in the Pediatric Emergency Department in Evaluation of Children With New-Onset Afebrile Seizure

2018 ◽  
Vol 33 (11) ◽  
pp. 708-712 ◽  
Author(s):  
Aravindhan Veerapandiyan ◽  
Akilandeswari Aravindhan ◽  
James Huynh Takahashi ◽  
Devorah Segal ◽  
Keith Pecor ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Pediatric Emergency ◽  
Cranial Computed Tomography ◽  
Seizure Type ◽  
Pediatric Emergency Department ◽  
Seizure Duration ◽  
Chi Square ◽  
Head Ct ◽  
Afebrile Seizure

Objective: Cranial computed tomography (CT) is not recommended in the routine evaluation of children with first afebrile seizure due to its low yield. The objective was to assess the current practice in our pediatric emergency department regarding the use of head CT in children with first afebrile seizure and to identify the factors that lead to ordering a head CT. Methods: Medical records of patients between 1 month and 18 years old evaluated at our emergency department for presentation of first afebrile seizure between 2010 and 2014 were retrospectively reviewed. Data extracted include age, gender, seizure type, single or multiple seizures at presentation, seizure duration, predisposing conditions to seizures (ie, history of developmental delay), and whether a head CT was performed. Contingency tables with chi-square analyses were used to determine which variables were associated with increased use of head CT. Results: Of 155 patients (88M/67F) included in the study, 72 (46.5%) underwent head CT and only 3 had clinically significant findings that did not require acute management. There were no differences in CT use by age, sex, seizure type, seizure number, seizure risk factors, or findings on physical examination. Head CT was performed more frequently in cases with seizures ≥5 minutes and unknown seizure duration ( P = .04). Conclusion: Despite existing evidence, the emergent head CT rate was high in our cohort. Children with seizure duration of ≥5 minutes or of unknown duration were more likely to undergo head CT in our emergency department.

Assessing Somatization and Psychosocial Impairment in the Pediatric Emergency Department

2010 ◽  
Author(s):  
Zorash Montano ◽  
Neda Safvati ◽  
Angela Li ◽  
Ilene Claudius ◽  
Jeffrey I. Gold
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Psychosocial Impairment

Variation in Test Ordering for Low Acuity Patients By Pediatric Emergency Department Providers

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 276A-276A
Author(s):  
Kaynan Doctor ◽  
Kristen Breslin ◽  
Melissa M. Tavarez ◽  
Deena Berkowitz ◽  
James M. Chamberlain
Keyword(s):  
Emergency Department ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Test Ordering
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